JENISE HAN NPC
NPI 1194870519
Nurse Practitioner in Harbor City, CA

Q: What is Jenise Han's NPI number?

The NPI number for Jenise Han is 1194870519. It was assigned to this individual provider in the NPPES registry on January 24, 2007. The provider is also known as Jenise Han Npc.

Q: What is Jenise Han's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenise Han was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2007

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 517-2990 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jenise Han Npc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENISE HAN NPC (NPI 1194870519) is an individual nurse practitioner in Harbor City, California, licensed in California (12621) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1194870519

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENISE HANCredential: NPC

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 517-2990

Phone(310) 517-2990

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1194870519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 12621

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

25825 VERMONT AVE, Harbor City, CA 90710

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Other Names 1

Professional Name (2)Jenise Han Npc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN KOH PHARM.D.

Pharmacist